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Published in: Italian Journal of Pediatrics 1/2016

Open Access 01-12-2016 | Commentary

Beyond the “Choosing wisely”: a possible attempt

Authors: Roberto Bernardini, Giampaolo Ricci, Francesca Cipriani, Flavio Civitelli, Luciana Indinnimeo, Domenico Minasi, Luigi Terracciano, Marzia Duse

Published in: Italian Journal of Pediatrics | Issue 1/2016

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Abstract

Since the fundamental principles of the medical profession were clearly defined in a physician charter in 2002, special considerations have been expressed about the adequate distribution of health care resources taking in account the individual patient needs to optimize the health care service. The correct application of procedures represents a key point in order to reach the appropriateness of care, that means to avoid unnecessary or inappropriate procedures as well as the underutilization of the necessary procedures. In this context, the Choosing wisely campaign have been widely used and disclosed and even the Italian Society of Pediatric Allergology and Immunology - SIAIP has been working to make recommendations in order to ensure the appropriateness of care in the field of allergy and optimize the use of health care resources.
Literature
1.
go back to reference ABIM Foundation. American Board of Internal Medicine; ACP-ASIM Foundation. American College of Physicians-American Society of Internal Medicine; European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3):243–6.CrossRef ABIM Foundation. American Board of Internal Medicine; ACP-ASIM Foundation. American College of Physicians-American Society of Internal Medicine; European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3):243–6.CrossRef
2.
go back to reference Medical Professionalism Project. Medical professionalism in the new millennium: a physicians’ charter. Lancet. 2002;359(9305):520–2.CrossRef Medical Professionalism Project. Medical professionalism in the new millennium: a physicians’ charter. Lancet. 2002;359(9305):520–2.CrossRef
3.
go back to reference Brook RH, Chassin MR, Fink A, Solomon DH, Kosecoff J, Park RE. A method for the detailed assessment of the appropriateness of medical technologies. Int J Technol Assess Health Care. 1986;2(1):53–63.CrossRefPubMed Brook RH, Chassin MR, Fink A, Solomon DH, Kosecoff J, Park RE. A method for the detailed assessment of the appropriateness of medical technologies. Int J Technol Assess Health Care. 1986;2(1):53–63.CrossRefPubMed
5.
go back to reference Grady D, Redberg RF. Less is more: how less health care can result in better health. Arch Intern Med. 2010;170(9):749–50.CrossRefPubMed Grady D, Redberg RF. Less is more: how less health care can result in better health. Arch Intern Med. 2010;170(9):749–50.CrossRefPubMed
6.
go back to reference Brody H. Medicine’s ethical responsibility for health care reform--the Top Five list. N Engl J Med. 2010;362(4):283–5.CrossRefPubMed Brody H. Medicine’s ethical responsibility for health care reform--the Top Five list. N Engl J Med. 2010;362(4):283–5.CrossRefPubMed
8.
go back to reference Quinonez RA, Garber MD, Schroeder AR, Alverson BK, Nickel W, Goldstein J, et al. Choosing wisely in pediatric hospital medicine: five opportunities for improved healthcare value. J Hosp Med. 2013;8(9):479–85.CrossRefPubMed Quinonez RA, Garber MD, Schroeder AR, Alverson BK, Nickel W, Goldstein J, et al. Choosing wisely in pediatric hospital medicine: five opportunities for improved healthcare value. J Hosp Med. 2013;8(9):479–85.CrossRefPubMed
11.
go back to reference Kelso JM, Greenhawt MJ, Li JT, Nicklas RA, Bernstein DI, Blessing-Moore J, et al. Adverse reactions to vaccines practice parameter 2012 update. J Allergy Clin Immunol. 2012;130(1):25–43.CrossRefPubMed Kelso JM, Greenhawt MJ, Li JT, Nicklas RA, Bernstein DI, Blessing-Moore J, et al. Adverse reactions to vaccines practice parameter 2012 update. J Allergy Clin Immunol. 2012;130(1):25–43.CrossRefPubMed
12.
go back to reference Kelso JM, Greenhawt MJ, Li JT. Joint Task Force on Practice Parameters (JTFPP). Update on influenza vaccination of egg allergic patients. Ann Allergy Asthma Immunol. 2013;111(4):301–2.CrossRefPubMed Kelso JM, Greenhawt MJ, Li JT. Joint Task Force on Practice Parameters (JTFPP). Update on influenza vaccination of egg allergic patients. Ann Allergy Asthma Immunol. 2013;111(4):301–2.CrossRefPubMed
13.
go back to reference Zuberbier T, Asero R, Bindslev-Jensen C, Canonica WG, Church MK, Giménez-Arnau A, et al. EAACI/GA2LEN/EDF/WAO guideline: management of urticaria. Allergy. 2009;64(10):1427–43.CrossRefPubMed Zuberbier T, Asero R, Bindslev-Jensen C, Canonica WG, Church MK, Giménez-Arnau A, et al. EAACI/GA2LEN/EDF/WAO guideline: management of urticaria. Allergy. 2009;64(10):1427–43.CrossRefPubMed
14.
go back to reference Capra L, Ricci G, Baviera G, Longo G, Maiello N, Galli E. Orticaria acuta: Linee Guida SIAIP. RIAP. 2012;05–06:19–23. Capra L, Ricci G, Baviera G, Longo G, Maiello N, Galli E. Orticaria acuta: Linee Guida SIAIP. RIAP. 2012;05–06:19–23.
15.
go back to reference Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, et al. The EAACI/GA2 LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Allergy. 2014;69(7):868–87.CrossRefPubMed Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, et al. The EAACI/GA2 LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. Allergy. 2014;69(7):868–87.CrossRefPubMed
17.
go back to reference Aliyali M, Poorhasan Amiri A, Sharifpoor A, Zalli F. Effects of N-acetylcysteine on asthma exacerbation. Iran J Allergy Asthma Immunol. 2010;9(2):103–9.PubMed Aliyali M, Poorhasan Amiri A, Sharifpoor A, Zalli F. Effects of N-acetylcysteine on asthma exacerbation. Iran J Allergy Asthma Immunol. 2010;9(2):103–9.PubMed
19.
20.
go back to reference Brand PL, Hoving MF, de Groot EP. Evaluating the child with recurrent lower respiratory tract infections. Paediatr Respir Rev. 2012;13(3):135–8.CrossRefPubMed Brand PL, Hoving MF, de Groot EP. Evaluating the child with recurrent lower respiratory tract infections. Paediatr Respir Rev. 2012;13(3):135–8.CrossRefPubMed
21.
go back to reference Bousfiha AA, Jeddane L, Ailal F, Al Herz W, Conley ME, Cunningham-Rundles C, et al. A phenotypic approach for IUIS PID classification and diagnosis: guidelines for clinicians at the bedside. J Clin Immunol. 2013;33(6):1078–87.CrossRefPubMedPubMedCentral Bousfiha AA, Jeddane L, Ailal F, Al Herz W, Conley ME, Cunningham-Rundles C, et al. A phenotypic approach for IUIS PID classification and diagnosis: guidelines for clinicians at the bedside. J Clin Immunol. 2013;33(6):1078–87.CrossRefPubMedPubMedCentral
22.
go back to reference Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. NIAID-Sponsored Expert Panel. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. J Allergy Clin Immunol. 2010;126(6):1105–18.CrossRefPubMedPubMedCentral Boyce JA, Assa’ad A, Burks AW, Jones SM, Sampson HA, Wood RA, et al. NIAID-Sponsored Expert Panel. Guidelines for the Diagnosis and Management of Food Allergy in the United States: Summary of the NIAID-Sponsored Expert Panel Report. J Allergy Clin Immunol. 2010;126(6):1105–18.CrossRefPubMedPubMedCentral
23.
go back to reference Burks AW, Tang M, Sicherer S, Muraro A, Eigenmann PA, Ebisawa M, et al. ICON: food allergy. J Allergy Clin Immunol. 2012;129(4):906–20.CrossRefPubMed Burks AW, Tang M, Sicherer S, Muraro A, Eigenmann PA, Ebisawa M, et al. ICON: food allergy. J Allergy Clin Immunol. 2012;129(4):906–20.CrossRefPubMed
24.
go back to reference Heinzerling L, Mari A, Bergmann KC, Bresciani M, Burbach G, Darsow U, et al. The skin prick test - European standards. Clin Transl Allergy. 2013;3(1):3.CrossRefPubMedPubMedCentral Heinzerling L, Mari A, Bergmann KC, Bresciani M, Burbach G, Darsow U, et al. The skin prick test - European standards. Clin Transl Allergy. 2013;3(1):3.CrossRefPubMedPubMedCentral
Metadata
Title
Beyond the “Choosing wisely”: a possible attempt
Authors
Roberto Bernardini
Giampaolo Ricci
Francesca Cipriani
Flavio Civitelli
Luciana Indinnimeo
Domenico Minasi
Luigi Terracciano
Marzia Duse
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2016
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-016-0265-4

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